Organization
GBOLAHAN O. OKUBADEJO, M.D PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY M. LEGG (CREDENTIALING MANAGER)
(347) 584-8903
Entity
Organization
Contact information
Practice address
32 MARQUIS CT, EDGEWATER, NJ 07020-2900
(877) 854-8274
Mailing address
32 MARQUIS CT, EDGEWATER, NJ 07020-2900
(877) 854-8274
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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